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1346993110
LISA MICHELLE LUCIANO
ORLANDO, FL
NPI
1346993110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9115669)
Enumeration Date
2022-02-01
Last Update Date
2024-07-30
Business Address
LISA MICHELLE LUCIANO
2800 S OSCEOLA AVE
ORLANDO, FL 32806-5419
Phone number: 800-735-1178
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Mailing Address
LISA MICHELLE LUCIANO
2454 METFIELD DR APT 4406
MELBOURNE, FL 32940-5340
Phone number: 478-808-0639
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